| Package AWP: | $121,374.00 |
| Package: | 10 ML |
| J-Code: | |
| Strength: | |
| Form: | Solution |
| NDC Number: | 54643564901 |
| Generic Name: | Vit C/Biotin/Vit B12/Dexpanthenol/Folic Acid/Niaci |
| Brand Name: | INFUVITE |
| Mfg. Part No: | 3305463 |
| Std Packaging: | 5/EACH/BOX VIAL# 1 5ML & VIAL # 2 5ML |
| Manufacturer: | BAXTER DEALER |
| Replacement: | |